Individual
MR. MARCUS LAKEITH YOUNG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 N GAY AVE, PANAMA CITY, FL 32404-6110
(850) 831-3530
Mailing address
626 N GAY AVE, PANAMA CITY, FL 32404-6110
(850) 831-3530
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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